CPCO chapter 2 Questions with Revised
Answers () 100% Guarantee Pass.
When is an outside consultant and/or legal counsel necessary?
Only when an overpayment is identified.
There is no requirement to hire a consultant or counsel, but such assistance may be beneficial during
certain phases of development and/or if issues arise.
In the beginning of plan development.
Never. - CORRECT ANSWERS There is no requirement to hire a consultant or counsel, but such
assistance may be beneficial during certain phases of development and/or if issues arise.
There is no requirement that outside consultants or legal counsel be involved in a Compliance Program.
However, during certain phases of program development and implementation, both consultants and
legal counsel may be beneficial.
Most expenses related to developing and implementing a compliance program are considered the cost
of doing business and are tax deductible for the organization. Which, of the following, is NOT tax
deductible?
when the expense costs are more than the national average
when the expenses are a result of the imposition of a penalty
for the annual maintenance of the program
except the salary of the Compliance Officer - CORRECT ANSWERS when the expenses are a
result of the imposition of a penalty
A CIA is a penalty imposed upon the organization and, as with any other governmental penalty, the
expense of the development, implementation, and maintenance of this program cannot be included as a
deductible expense to the organization.
What is the most important aspect of a Compliance Program?
Training
, Implementation
Development
Discipline - CORRECT ANSWERS Implementation
Without adherence to the stated goals and objectives there is no purpose to the document itself. Having
all the components of a compliance program in place will not matter if they are not implemented.
Fraud, waste, and abuse are all areas that must be controlled when providing services to beneficiaries.
Which statement is TRUE regarding fraudulent billing?
A series of errors is considered fraudulent billing.
Fraudulent billing is only an issue if the erroneous billing is identified and not resolved.
Fraudulent billing only occurs when refunds are not issued in a timely manner.
Fraudulent billing is a willful act with intent to receive payment for services not rendered. - CORRECT
ANSWERS Fraudulent billing is a willful act with intent to receive payment for services not
rendered.
Fraudulent billing is willful, and is undertaken with the intent to receive payment for services not
legitimately rendered.
Because of the changing nature of healthcare regulation, which statement is TRUE regarding the
compliance program?
The compliance program should only be updated annually to ensure all the changed regulations are
captured.
The compliance program should be updated biannually.
Hiring a consultant to review the program for accuracy is necessary.
The compliance program should be continually a work in progress. - CORRECT ANSWERS The
compliance program should be continually a work in progress.
The program should be monitored and updated at least annually, and more likely more often, to provide
for up-to-date compliance.
Which statement is true regarding compliance programs?
Answers () 100% Guarantee Pass.
When is an outside consultant and/or legal counsel necessary?
Only when an overpayment is identified.
There is no requirement to hire a consultant or counsel, but such assistance may be beneficial during
certain phases of development and/or if issues arise.
In the beginning of plan development.
Never. - CORRECT ANSWERS There is no requirement to hire a consultant or counsel, but such
assistance may be beneficial during certain phases of development and/or if issues arise.
There is no requirement that outside consultants or legal counsel be involved in a Compliance Program.
However, during certain phases of program development and implementation, both consultants and
legal counsel may be beneficial.
Most expenses related to developing and implementing a compliance program are considered the cost
of doing business and are tax deductible for the organization. Which, of the following, is NOT tax
deductible?
when the expense costs are more than the national average
when the expenses are a result of the imposition of a penalty
for the annual maintenance of the program
except the salary of the Compliance Officer - CORRECT ANSWERS when the expenses are a
result of the imposition of a penalty
A CIA is a penalty imposed upon the organization and, as with any other governmental penalty, the
expense of the development, implementation, and maintenance of this program cannot be included as a
deductible expense to the organization.
What is the most important aspect of a Compliance Program?
Training
, Implementation
Development
Discipline - CORRECT ANSWERS Implementation
Without adherence to the stated goals and objectives there is no purpose to the document itself. Having
all the components of a compliance program in place will not matter if they are not implemented.
Fraud, waste, and abuse are all areas that must be controlled when providing services to beneficiaries.
Which statement is TRUE regarding fraudulent billing?
A series of errors is considered fraudulent billing.
Fraudulent billing is only an issue if the erroneous billing is identified and not resolved.
Fraudulent billing only occurs when refunds are not issued in a timely manner.
Fraudulent billing is a willful act with intent to receive payment for services not rendered. - CORRECT
ANSWERS Fraudulent billing is a willful act with intent to receive payment for services not
rendered.
Fraudulent billing is willful, and is undertaken with the intent to receive payment for services not
legitimately rendered.
Because of the changing nature of healthcare regulation, which statement is TRUE regarding the
compliance program?
The compliance program should only be updated annually to ensure all the changed regulations are
captured.
The compliance program should be updated biannually.
Hiring a consultant to review the program for accuracy is necessary.
The compliance program should be continually a work in progress. - CORRECT ANSWERS The
compliance program should be continually a work in progress.
The program should be monitored and updated at least annually, and more likely more often, to provide
for up-to-date compliance.
Which statement is true regarding compliance programs?
